Provider Demographics
NPI:1740416304
Name:TSAI, ALEX SHYANG (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:SHYANG
Last Name:TSAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:874 PROPRIETORS RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-885-9405
Mailing Address - Fax:614-885-9481
Practice Address - Street 1:874 PROPRIETORS RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085
Practice Address - Country:US
Practice Address - Phone:614-885-9405
Practice Address - Fax:614-885-9481
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.010404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine